Daniel S Kantz PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02002542A Issued in IN

Legal business name

DANIEL S KANTZ PSC

Practice address

2100 Market St
#106
Charlestown, IN 47111

Phone

(812) 256-7830

Fax

(812) 256-7835

NPI assigned

Apr 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel S Kantz, DO

Title

DO Owner

Phone

(812) 256-7830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daniel S Kantz LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912961012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST",
            "address_2": "#106",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "47111",
            "telephone_number": "812-256-7830",
            "fax_number": "812-256-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST",
            "address_2": "#106",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "47111",
            "telephone_number": "812-256-7830",
            "fax_number": "812-256-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S KANTZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANTZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DO OWNER",
        "authorized_official_telephone_number": "812-256-7830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "02002542A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64068968",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel S Kantz LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Physician in Charlestown, IN
• Providers in Charlestown, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.